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Camera Bonsack , CST II

Peer Specialist β€’ Modesto, CA

Active NPI 1013213180 Individual Practitioner Female Practitioner
Practice location in NPPES

800 Scenic Dr Ste E
Modesto, CA 953506131

Call 2095318016 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

800 Scenic Dr Ste E

Modesto, CA 953506131

Telephone 2095318016
Fax 2095254590

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Modesto and California

67 active clinicians are listed under Peer Specialist with a practice address in Modesto, CA (4,535 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Modesto

0% of these 67 clinicians have the CMS telehealth indicator.

0% of these 67 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES CA MPSS-PSQHDC

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location May 16, 2025

Registered at 800 SCENIC DR STE E, MODESTO, CA 953506131 (Tel: 2095318016)

πŸ“
Updated Practice Location September 14, 2023

Registered at 522 E GRANGER AVE, MODESTO, CA 953504545 (Tel: 2095854610)

πŸ“
Updated Business Mailing Address September 14, 2023

Registered at 522 E GRANGER AVE, MODESTO, CA 953504545 (Tel: 2095854610)

πŸ‘€
Provider Name / Credentials Updated September 14, 2023

Recorded as CAMERA BONSACK, CST II

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2023

Community Health Worker

πŸ“
Updated Practice Location April 19, 2019

Registered at 707 14TH ST, MODESTO, CA 953542506 (Tel: 2095258050)

βœ…
NPI Profile Active January 22, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 22, 2013

Registered at 2215 BLUE GUM AVE, MODESTO, CA 953581052 (Tel: 2095255401)

πŸ“
Business Mailing Address (Initial Record) January 22, 2013

Registered at 2215 BLUE GUM AVE, MODESTO, CA 953581052 (Tel: 2095255401)

πŸ‘€
Provider Name / Credentials (Initial Record) January 22, 2013

Recorded as CAMERA BONSACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2013

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration February 07, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013213180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2011
Last Update: May 16, 2025
Sole Proprietor: No

Mailing Address

522 E Granger Ave

Modesto, CA 953504545

Phone: 2095854610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.